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$75 per person 31 days Administration of Anesthetics Aetna Claim Office allowable Hospital Room average semi-private Basic Coverage Basic Plus Major benefits are payable benefits described benefits for charges bladder stones blood plasma Board Charges Board Expense charges for identification Christian Science Benefits CLAIM BENEFITS claim forms confinement Convalescent Hospital Room Coverage will pay Covered Expense Amount Cystoscopy day for 31 deductible is $75 deductible under Major doctor of medicine FEHBP flat daily charge following benefits group policy Hospital Charges Hospital lnsurance Hospital Services identification cards illness or injury insured family member lf the hospital Major Medical Benefits Major Medical Coverage Major Medical deductible mastectomy Maximum Amount maximum Major Medical Medical Expenses Medical lnsurance Medicare Medicare deductible medicine M.D. Office of Personnel operation oral surgery patient private duty nursing registered nurse R.N. Room and Board separate charges Services and Supplies Services or supplies Special or private Surgical Schedule Partial Uniform Plan